Loading...
HomeMy WebLinkAboutInsurance Certificate: West Yost & Asociates, Inc. WESTYOS-01 MICHAELA ,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/28/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#OE67768 CONTACT Andrea Michael NAME: IOA Insurance Services PHONE FAX 3875 Hogyard Road (A/C,No,Ext):(925)249-7958 (A/C,No): Suite 20 a DDRIESS:Andrea-Michael@ioausa.com Pleasanton,CA 94588 INSURERS AFFORDING COVERAGE NAIC# INSURERA:RLI Insurance Company 13056 INSURED INSURER B: West Yost&Associates,Inc. INSURER 7 2020 Research Park Drive Suite 100 INSURER D7 Davis,CA 95618 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE j OCCUR PSB0009675 9/1/2025 9/1/2026 DAM ESE a occAGE TO RENTED 1,000,000 PREMISurrece $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X71 PEA LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO PSA0003122 9/1/2025 9/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE PSE0004755 9/1/2025 9/1/2026 AGGREGATE $ 5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION X PER AND EMPLOYERS'LIABILITY STATUTE EERR Y/N PSW0005293 9/1/2025 9/1/2026 1,000,000 ANY PROPRIETOR/EXCLUDED? R/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OF EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liab. RDP0059589 9/1/2025 9/1/2026 Per Claim 1,000,000 A Professional Liab. RDP0059589 9/1/2025 9/1/2026 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All operations of the Named Insured,including the aforementioned project,if any. General Liability: City of Ashland,Oregon,and its elected officials,officers and employees are included as Additional Insured on Primary&Non-Contributory basis with Waiver of Subrogation included,as required by written contract. Workers'Compensation: Waiver of Subrogation is included as per attached Waiver of Subrogation Endorsement,as required by written contract. Auto Liability: City of Ashland,Oregon,and its elected officials,officers and employees are included as Additional Insured with Waiver of Subrogation included,as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Ashland 20 East Main Street Ashland OR 97520 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: pSB0008075 RL| Insurance Company Named Insured:�West Yost&Associates, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 8TCAREFULLY. �� ��U U� �d��� PROFESSIONALS n�u~nn ������— n �rn� BLANKET �����U�Uo���U U�������� ����o�����U���� ��u~��nmn�u~ n �����,nnn�~nm��u~ nnm����n�u~�� ENDORSEMENT This endorsement modifies insurance provided under the following: 0US|NESS0VVNERS COVERAGE FORM - SECTION || — LIABILITY 1. C. WHO IS AN INSURED is amended to include as additional insured under this policy must apply on o on additional insured any person or organization that primary boeie, or o primary and non-contributory you agree in o contract or agreement requiring boeie, this insurance is primary to other insurance insurance bu include oeon additional insured onthis that is available to such additional insured which po|ioy, but only with respect to liability for "bodily covers such additional insured oeonamed insured, injury". "property damage" or "personal and and we will not ehonu with that other ineuronoe, advertising injury" caused in whole or in port by you provided that: or those acting on your beho|f� � a. The "bodily injury" or "property damage" for a. In the performance of your ongoing operations; which coverage is sought occurs after you have b. In connection with premises owned byorrented entered into that contract orogreement' or to you; or b. The "personal and advertising injury" for which .. , coverage is sought arises out of on offense � |n connection with your work" and included ' .. committed after you have entered into that within the product-oomp|eted operations hazard".. contract oragreement. 4. The following is added to ����T|��N 88| 8�. 2. 2 The insurance insured by ' this endorsement ie limited oefoUovve� Transfer mf8�i@hts of Recovery Against Others to � 0s — COMMON POLICY CONDITIONS (BUT a. This insurance does not apply on any basis to APPLICABLE TO ONLY TO SECTION 18 — any person or organization for which coverage LIABILITY) as an additional insured specifically ieadded by We waive any rights of recovery we may have another endorsement bu this policy. against any person or organization because of b. This insurance does not apply to the rendering payments we make for "bodily injury". "property of or failure to render any "professional damage" or "personal and advertising injury" arising eervioee" out of "your work" performed by you, or on your behalf, under o contract or agreement with that c This endorsement does not increase any of ' person or organization. VVewoivetheeerighteon|y limits of insurance stated in D. Liability And � ' where you have agreed to do so as part of o K8�di�a| ����n��� �imni�� mf8n�uran��� contract or agreement with such person or 3. The following is added to SECTION 888 H.2. Other organization entered into by you before the "bodily Insurance — COMMON POLICY CONDITIONS injury" or "property damage" occurs, or the "personal (BUT APPLICABLE ONLY TO SECTION 88 — and advertising injury" offense iecommitted. LIABILITY) Hovm»ver, if you specifically agree in o contract or agreement that the insurance provided to on ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PP030402 12 Page of POLICY NO. PSA0003122 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Broad Form Named Insured of the operations contemplated by such contract. The The following is added to the SECTION II — waiver applies only to the person or organization COVERED AUTOS LIABILITY COVERAGE, Para- designated in such contract. graph A.1.Who Is An Insured Provision: E. Employee Hired Autos Any business entity newly acquired or formed by you 1. The following is added to the SECTION II — during the policy period, provided you own fifty COVERED AUTOS LIABILITY COVERAGE, percent (50%) or more of the business entity and the Paragraph A.1.Who Is An Insured Provision: business entity is not separately insured for Bus-iness An "employee" of yours is an "insured" while Auto Coverage. Coverage is extended up to a operating an "auto" hired or rented under a maximum of one hundred eighty (180) days following contract or agreement in that"employee's" name, the acquisition or formation of the business entity. with your permission, while performing duties This provision does not apply to any person or related to the conduct of your business. organization for which coverage is excluded by 2. Changes In General Conditions: endorsement. B. Employees As Insureds Paragraph 5.b. of the Other Insurance Con- dition in the BUSINESS AUTO CONDITIONS is The following is added to the SECTION II — deleted and replaced with the following: COVERED AUTOS LIABILITY COVERAGE, Para- graph A.1.Who Is An Insured Provision: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered Any"employee" of yours is an "insured"while using a "autos" you own: covered "auto" you don't own, hire or borrow in your (1) Any covered "auto" you lease, hire, rent business or your personal affairs. or borrow; and C. Blanket Additional Insured (2) Any covered "auto" hired or rented by The following is added to the SECTION II — your "employee" under a contract in that COVERED AUTOS LIABILITY COVERAGE, Para- individual "employee's" name, with your graph A.1.Who Is An Insured Provision: permission, while performing duties Any person or organization that you are required to related to the conduct of your business. include as an additional insured on this coverage form However, any"auto"that is leased, hired, in a contract or agreement that is executed by you rented or borrowed with a driver is not a before the"bodily injury" or"property damage" occurs covered "auto". is an "insured" for liability coverage, but only for F. Fellow Employee Coverage damages to which this insurance applies and only to SECTION II — COVERED AUTOS LIABILITY the extent that person or organization qualifies as an COVERAGE, Exclusion B.S. does not apply if you "insured" under the Who Is An Insured provision pp y contained in SECTION II — COVERED AUTOS have workers compensation insurance in-force LIABILITY COVERAGE. covering all of your employees. The insurance provided to the additional insured will G. Auto Loan Lease Gap Coverage be on a primary and non-contributory basis to the SECTION III — PHYSICAL DAMAGE COVERAGE, additional insured's own business auto coverage if C. Limit Of Insurance, is amended by the addition of you are required to do so in a contract or agreement the following: that is executed by you before the "bodily injury" or "property damage" occurs. In the event of a total"loss"to a covered"auto"shown in the Schedule of Declarations, we will pay any D. Blanket Waiver Of Subrogation unpaid amount due on the lease or loan for a covered "auto", less: The following is added to the SECTION IV — BUSI- 1. The amount paid under the PHYSICAL NESS AUTO CONDITIONS,A. Loss Conditions, 5. DAMAGE COVERAGE section of the policy; and Transfer Of Rights Of Recovery Against Others To Us: 2. Any: We waive any right of recovery we may have against a. Overdue lease/loan payments at the time of any person or organization to the extent required of the "loss"; you by a contract executed prior to any "accident" or "loss", provided that the"accident" or"loss" arises out PPA 300 03 13 Policy Number: PSB0008075 RL| Insurance Company Named Insured:West Yost&Associates. Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 8TCAREFULLY. �� ��U U� �d��� PROFESSIONALS n�u~nn ������— n �rn� SCHEDULED �����U�Uo���U U�������� ����o�����U���� ���*n n�~�,��u~u~�� ADDITIONAL n�*nm��u~ nnm����n�u~�� ENDORSEMENT This endorsement modifies insurance provided under the following: 0US|NESS0VVNERSC0VERAGE FORM—SECTION || — LIABILITY Schedule Name ofPereon(e)or Organ izotion(e): 1. SECTION 88 C. Who Is An Insured is amended to primary boeie, or o primary and non-contributory include as on additional insured the person or boeie, this insurance is primary to other insurance organization shown in the schedule above, but only that is available to such additional insured which with respect to liability for "bodily injury". "property covers such additional insured oeonamed ineunud, damage" or "personal and advertising injury" and we will not ehonu with that other ineuronoe, caused in whole or in port by you or those acting on provided that: your behalf:� a. The "bodily injury" or "property damage" for a. In the performance of your ongoing operations; which coverage is sought occurs after you have b. In connection with premises owned byorrented entered into that contract oragreement; or to you; or b. The "personal and advertising injury" for which .. , coverage is sought arises out of on offense o |n connection with your work" and included ' .. committed after you have entered into that within the produo�oomp|eted operations hazard".. contract oragreement. 4. The following is added bu ����T8��N 888 8�.2 Transfer 2 The insurance provided to insured by ' this endorsement ie limited oefoUowe� of Rights of Recovery Against Others to 0s — � COMMON POLICY CONDITIONS (BUT a. This insurance does not apply tothe rendering APPLICABLE TO SECTION 8 — PROPERTY AND of or failure to render any "professional SECTION 88—LIABILITY) services". We waive any rights of recovery we may have b. This endorsement does not increase any of the against any person or organization because of limits of insurance stated in D. Liability And payments we make for "bodily injury". "property Medical Expenses Limits of Insurance. damage" or "personal and advertising injury" arising out of "your work" performed by you or on your 3 The is added bu ����T8��N 888 � 2 ���h�r ' ' ' ' behalf, under o contract or agreement with that Insurance — COMMON POLICY CONDITIONS person or organization. VVe waive these rights only (BUT APPLICABLE ONLY TO SECTION 88 — LIABILITY) where you have agreed to do so as partof o contract or agreement with such person or However, if you specifically agree in o contract or organization entered into byyou before the "bodily agreement that the insurance provided to on injury" or "property damage" occurs, or the "personal additional insured under this policy must apply on o and advertising injury" offense is committed. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PP031302 12 Page of WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 0403 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only tothe extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement ehoU be2Y6 of the California workers' compensation premium otherwise due on such remuneration. Schedule Person mrOrganization Job Description All persons or organizations that are party toa contract that Jobs performed for any person or organization that you requires you to obtain this agreement, provided you executed have agreed with ina written contract to provide this the contract before the loss. agreement. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent tn preparation nf the pnnovl Policy No. PSVV0005293 Endorsement No. Insured Insurance Company West Yost&Associates, Inc. RL| Insurance Company @1998 by the Workers'Compensation Insurance Rating Bureau of California.All rights reserved. Policy Number: PSE0004755 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack® SCHEDULE OF UNDERLYING INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE FORM Item 4. of the declarations is amended to include: Type of Coverage Carrier Eff. Date Exp. Date Limits General Liability Occurrence $ 1,000,000 RLI Insurance 09/01/2025 09/01/2026 Aggregate $2,000,000 Company Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. Employee Benefits Each Employee $1,000,000 Liability RLI Insurance 09/01/2025 09/01/2026 Aggregate $1,000,000 Company Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. Employers' Liability Each Accident: Statutory Limits or$1,000,000 RLI Insurance 09/01/2025 09/01/2026 whichever is greater Company Disease Each Employee: Statutory Limits or Only the Type of $1,000,000 ,whichever is greater Coverage identified in Disease Policy Limit: Statutory Limits or this Schedule of $1,000,000 ,whichever is greater Underlying Insurance by Carrier, policy number and applicable Limits are to be included. Business Auto Liability RLI Insurance 09/01/2025 09/01/2026 Each Accident$1,000,000 Company Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPU 110 04 23 Page 1 of 1 number and applicable Limits are to be included. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPU 110 04 23 Page 1 of 1